How The Electronic Health Record Did Not Measure Up To The Demands Of Our Medical Home Practice

被引：46

作者：

Fernandopulle, Rushika ^{[1
]}

Patel, Neil ^{[2
]}

机构：

[1] Renaissance Hlth, Cambridge, MA USA

[2] AtlantiCare Special Care Ctr, Atlantic City, NJ USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 04期

关键词：

INFORMATION-TECHNOLOGY; CARE; SYSTEMS;

D O I：

10.1377/hlthaff.2010.0065

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems.

引用

收藏

页码：622 / 628

页数：7

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